Document Delivery Request - Distance Learning Students Only

S. Mary Joseph Cunningham LibraryGeorgian Court University

Please complete the information below as completely as possible. Inaccurate/incomplete information will result in delayed or unfilled requests. You will be contacted by e-mail if we are unable to supply an item.

Personal Information:

Requestor's Name:

Library ID (on back of ID card): 26578

Street Address:

City:

State/Zip:

Phone:

E-mail Address (GCU only):

Professor's Name:

Course Number:

Fax Number (optional):

Affiliation (select one):

Request Information: (Note: This table includes information for both journal and book requests. Only complete the relevant information.)

Audio-visual materials must be picked up at the Georgian Court University Library.

Please Note: The following charges will be added to the requestor's library account:

Photocopies $.10 per page (journal articles, ERIC documents, other non-circulating print materials)Postage for items mailed directly to requestor ($7.50 per book; $2.50 per article)Overdue fines for items not returned by the due date, including interlibrary loan itemsReplacement costs for items not returned, including interlibrary loan items

If the item is not owned by our library, do you wish for us to try and obtain it for you from another library?

If the item is not owned by our library and you wish for us to try and obtain the item from another library, GCU pays the cost of borrowing books/articles up to $10.00. If your request incurs a charge more than this amount, please select how much you are willing to pay?